Jon Eric Wilson, PT,DSC,OCS, SCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305006535 Issued in VA

Practice address

4102 Pinion Dr
Usaf Academy, CO 80840-2502

Phone

(719) 333-0567

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1619949286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 WILLOW VIEW RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065387",
            "telephone_number": "325-691-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JON",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PT,DSC,OCS, SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006535",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "VA",
            "license": "2305006535",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305006535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah D Will, M.D.
• Nina Marie Willert, FNP-BC
• Esther Lee Williams, LCSW
• Shawn Williams
• James Allen Willoughby, ATC
• Russell Matthew Wolbers, CRNA
• Jodi Kay Wotowey, ATC
• Ramon Yambo-Arias, M.D.
• Jessica Yang, PHARMD
• Jacqueline Lis Yurgil, D.O.

• Orthopedic Physical Therapist in Usaf Academy, CO
• Providers in Usaf Academy, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.